APPLICATION FOR EMPLOYMENT

Seton Catholic Schools - Department for Human Resources

3501 South Lake Drive, PO Box 070912, Milwaukee, WI 53207-0912

414-769-3300, Fax 414-769-3408

Please print clearly.

PERSONAL
Last Name / First Name / Middle Name / Date
Street Address / Home Phone
( )
City/State/ZipCode / Business Phone
( )
Have you ever applied for employment with us? Yes No
If yes, under what name?______
Month/Year: Location: / Social Security #
Position Desired / Pay Expected
Are you seeking: Full-Time Part-Time
If part-time, what hours can you work? ______ / Will you work overtime if asked?
Yes No
Are you legally eligible for employment in the United States?
Yes No Not Sure
(If offered employment, you will be asked to provide documentation to verify eligibility.) / When will you be able to begin work?
Other special training or skills (languages, machine operation, etc.)
How did you learn of this position?
EDUCATION
SCHOOL / NAME AND LOCATION OF SCHOOL / COURSE OF STUDY / NO. OF
YEARS
COMPLETED / DID
YOU
GRADUATE? / DEGREE
OR
DIPLOMA
High School
College
(Under-
Graduate)
College
(Graduate)
Technical
Training
Or Other

Have you ever had any job related experience in the U.S. Military or other service organization (e.g. Peace Corps, community organizations, etc)?

Yes No If yes, please describe:______

______

WE ARE AN EQUAL OPPORTUNITY EMPLOYER.

EMPLOYMENT: List below all present and past employment, beginning with your most recent.
(Do not omit any employers and explain gaps in employment.)
EMPLOYER / TYPE OF BUSINESS
Name:______
Address:______
City/State/Zipcode:______
Telephone: ( ) Supervisor:
DESCRIBE THE WORK YOU DID
START DATE / DATE LEFT / REASON FOR LEAVING
STARTING SALARY / LAST SALARY
EMPLOYER / TYPE OF BUSINESS
Name:______
Address:______
City/State/Zipcode:______
Telephone: ( ) Supervisor:
DESCRIBE THE WORK YOU DID
START DATE / DATE LEFT / REASON FOR LEAVING
STARTING SALARY / LAST SALARY
EMPLOYER / TYPE OF BUSINESS
Name:______
Address:______
City/State/Zipcode:______
Telephone: ( ) Supervisor:
DESCRIBE THE WORK YOU DID
START DATE / DATE LEFT / REASON FOR LEAVING
STARTING SALARY / LAST SALARY

Explain employment gaps:______

______

May we contact the employers listed above?______If not, indicate by NO which one(s) you do not wish us to contact.

Have you ever been convicted of, or pled guilty or nolo contendere to, an offense, (including felony, misdemeanor or municipal ordinance), or are you now subject to a pending criminal charge? Yes No If yes, describe in detail.
(Convictions or pending charges will be considered in the hiring process only to the extent they substantially relate to the circumstances of employment sought by the applicant.)
DECLARATION
I hereby declare the information provided by me in the Application for Employment is true, correct and complete to the best of my knowledge. I understand that, if employed, any misstatement or omission of fact in this application shall be considered cause for dismissal.
I understand that an investigation may be made of my employment and personal history to arrive at an employment decision. I hereby release from all liability or responsibility, all persons, schools, companies furnishing such information. I understand that only job-related information will be used in the evaluation of my qualification for any position for which I am considered.
I understand and agree that if hired, the Seton Catholic Schools and the Human Resources Department shall have the right during my time of employment or after my termination of service to furnish information to other prospective employers regarding my employment including information contained in this application. I also understand that, if employed, such employment is not binding on either me or Seton Catholic Schools for any specified period of time, and such employment may be terminated by me or Seton Catholic Schools for any reason at any time.
______
Date Signature

Documents submitted with this application become the property of the Human Resources Department and will not be returned.